406215821-12-10-2019-17-CC-MKST-BJQQDL-20191210110454

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 406215821
Report Date: 12/10/2019
Date Signed: 12/10/2019 11:05:02 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	HAND IN HAND PRESCHOOL AND INFANT CENTER		FACILITY NUMBER:	406215821
ADMINISTRATOR:	ELLA MARIE BASTSON		FACILITY TYPE:	830
ADDRESS:	3172 JOHNSON AVE		TELEPHONE:	(805) 543-8653
CITY:	SAN LUIS OBISBO	STATE: CA	ZIP CODE:	93401
CAPACITY:	12	CENSUS:	DATE:	12/10/2019
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Ella Batson		TIME COMPLETED:	10:00 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Melissa Stewart conducted an announced Pre-Licensing inspection and met with owner/director, Ella Batson. This is a location change inspection for the combination preschool and infant center. Previous infant facility number 406203152. The infant indoor and outdoor activity areas were toured and measured. LPA observed sign in and out sheet and parent board with all required documents posted at the main entrance of the center. The young infant room and older infant rooms are equipped with age appropriate toys and furnishings. The young infant nap room is equipped with 6 emergency evacuation cribs. The older infants will nap in their classroom on small cots. The girls restroom at the end of the hallway will be used for diaper changing and potty training. LPA observed that cleaning supplies and additional art supplies are stored in a locked closet in the hallway. There is a kitchen located in the hallway between the preschool room and infant rooms. Kitchen is made off limits to children by a sliding safety gate. This facility has a functioning carbon monoxide detector in each classroom. Drinking water is available both indoors and outdoors via water jugs. Children bring their own sippy cups or water bottles. Director reported that there are no guns or ammunition in the center. The infant outdoor activity area is located off of the church lobby. The activity area is completely fenced and there are no bodies of water. LPA observed age appropriate bikes, climbing structure with slide and covered patio area. Continued on 809-C

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: HAND IN HAND PRESCHOOL AND INFANT CENTER	FACILITY NUMBER: 406215821
	VISIT DATE: 12/10/2019

NARRATIVE

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA reviewed and provided Director with a copy of “Safe to Sleep" brochure. LPA provided the “Effects of Lead Exposure” brochure to be distributed to all families. Director was advised to review Quarterly Updates and Provider Information Notices (PINs) which can be accessed on-line at www.ccld.ca.gov.

The facility was inspected by San Luis Obispo Fire Department and fire clearance was granted on 12/4/19. Based on indoor and outdoor space, toilets and sinks, this facility meets Title 22, Division 12 requirements for a infant center with a capacity of 12 children.

License effective today, 12/10/19.

LPA observed Director post the Notice of Site visit.

SUPERVISOR'S NAME: Maria Mueller	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Melissa K Stewart	TELEPHONE: (805) 689-6267
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019

LIC809 (FAS) - (06/04)

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